Please select the appropriate Health Information Sharing Consent Form (HISCF)

Stonechurch Family Health Centre HISCF, McMaster Family Practice HISCF  or  Queen’s Family Health Team HISCF  print and sign.

Select one of the authentications methods below:

    1. Visit your clinic in person (Authentication Level 3)
    2. Fax or Mail the signed form back to your clinic (Authentication Level 2):

 

McMaster Family Practice Stonechurch Family Health Centre Queens Family Health Team
690 Main St. West Ste. A 1475 Upper Ottawa St 220 Bagot St.
Hamilton, ON, L8S 1A4 Hamilton, ON, L8W 3J6 Kingston, ON, K7L 5E9
Fax: 905 512 5594 Fax: 905 512 5594 Fax: 613-544-9899